Penile Fracture: Role of Early Surgical Intervention on Postoperative Outcome

Abstract

Fracture of penis is relatively uncommon but grave urological emergency, which needs urgent surgical intervention to achieve good postoperative outcome. Objective: To determine the outcome of early surgical repair in patients presenting with fracture of penis. Patients & Methods: This retrospective study comprises 13 patients with fracture of penis, presenting in emergency of Services Hospital, Lahore from 2000-2007. Diagnosis was made clinically. No radiological investigation was carried out. All patients had primary suturing of the tunica tear and were followed up for 2-6 months postoperatively.  Results: Mean time interval between accident and arrival to hospital was recorded. Eight patients (61.5%) had fracture due to sexual intercourse. Three patients (23.08%) bending of penis. Masturbation and fall on to an erect penis each accounted for 1 (7.70%) of the total cases. There were no significant complications except necrosis of penile skin in one patient. Erectile function was preserved in all patients postoperatively. Conclusion: Early surgical intervention for penile fracture has good postoperative outcome with acceptable complication rate. Early diagnosis and surgical repair are instrumental in ensuring good outcome and minimal complications